CLINICAL PSYCHOLOGY FOR HEALTH AND PERFORMANCE PA (NPI# 1255605572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255605572 |
| Entity Type | Organization |
| Organization Name | CLINICAL PSYCHOLOGY FOR HEALTH AND PERFORMANCE PA |
| Practice Address |
3401 Rogers Ave Ste B Fort Smith AR 72903-2986 |
| Mailing Address |
11347 Honeysuckle Rd Ozark AR 72949-9676 |
| Practice Telephone | 4792424560 |
| Mailing Telephone | 4796671217 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | ANITRA S. FAY (PRESIDENT) |
| Authorized Official Telephone | 4796671217 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
82-01P | AR | Behavioral Health & Social Service Providers |
| Street Address |
3401 ROGERS AVE STE B |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434729 | Hillary R. Hunt, Ph.d., Pllc | Psychologist | 3401 Rogers Ave, Suite B, Fort Smith, AR 72903-2956 | 2013-09-25 |
| 1932281193 | Robert L Spray Jr Phd Pa | Psychologist | 3104 S 70th St, Suite #103, Fort Smith, AR 72903-5018 | 2006-10-19 |
| 1003901604 | Kristen W Eckelhoff | Psychologist | 5111 Rogers Avenue, Suite 526, Fort Smith, AR 72903 | 2006-10-03 |
| 1649224080 | Anitra S Fay | Psychologist | 3801 Rogers Ave, Fort Smith, AR 72903-3045 | 2006-05-20 |
| 1639177025 | Kathleen Marie Kralik | Psychologist | 2403 S. 51st Court, Suite B, Fort Smith, AR 72903-3663 | 2005-07-11 |
| 1790107431 | Richard H Barrett, II, Plc | Psychologist | 5601 Duncan Rd, Fort Smith, AR 72903-3211 | 2014-01-15 |
| 1669728135 | Eckelhoff Psychology | Psychologist | 5111 Rogers Ave, Suite 526, Fort Smith, AR 72903-2047 | 2012-08-01 |
| 1528219839 | William Thornton | Psychologist | 5111 Rogers Ave, Ste 535, Fort Smith, AR 72903-2047 | 2008-10-06 |
| 1457515108 | Narissa Rae Griffin | Psychologist | 5401 Rogers Ave Ste 201, Fort Smith, AR 72903 | 2008-07-11 |
| 1770767428 | Christina L. Couch | Psychologist | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2007-12-18 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on CLINICAL PSYCHOLOGY FOR HEALTH AND PERFORMANCE PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.